| NPI | 1215389127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6868) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 6376) | |
| 101YM0800X Counselor, Mental Health (Licence: SC 6376) | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2018-05-25 |